Part B News Features
Question: What are common documentation gaps in behavioral health encounters?... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Eleven specialties reported the visit-complexity add-on code G2211 more than 1 million times apiece in 2025, with total claims topping 45 million and payments nearing $455 million, both figures up sig... More
Question: What are common documentation gaps in behavioral health encounters?... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Eleven specialties reported the visit-complexity add-on code G2211 more than 1 million times apiece in 2025, with total claims topping 45 million and payments nearing $455 million, both figures up sig... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
Eleven specialties reported the visit-complexity add-on code G2211 more than 1 million times apiece in 2025, with total claims topping 45 million and payments nearing $455 million, both figures up significantly from the previous year.
Patients were almost three times more likely to receive a telehealth service at home than in another location in 2025. But Part B News analysis of data for Part B claims performed in places of service 02 (Telehealth provided other than in patient’s home), with 5.9 million claims, and 10 (Telehealth provided in patient’s home), with 17.3 million claims, revealed denial rates that almost match: 14% and 15%, respectively.
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